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General NPI Number Information
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NPI Number | 1154450534
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Entity Type | Organization
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Legal Business Name | LIAO'S ACUPUNCTURE CLINIC, INC.
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 1521 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-3213
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Country | US
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Telephone | 650-960-3986
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-3213
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Country | US
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Telephone | 650-960-3986
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Fax |
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Authorized Official
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Title or Position | L.AC
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Name | WEI HUA LIAO
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Credential | BACHELOR
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Telephone | 650-960-3986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC6348
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License Number State | CA
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